Millenium Diagnostic Center
LBN: Mmg 1 Pc
Millenium Diagnostic Center is an health care organization with primary practice located at 30840 Northwestern Hwy Suite 300, Farmington Hills MI 48334-2552. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mmg 1 Pc can be contacted via phone (248) 932-8725, or through Trivax, Geoffrey A via phone (313) 538-3099.
Contact Information
Primary practice address
30840 Northwestern Hwy Suite 300
Farmington Hills MI 48334-2552
Phone: (248) 932-8725
Fax: (248) 932-8977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X |
Profile Details
| NPI number | 1982639357 |
|---|---|
| LBN Legal business name | Mmg 1 Pc |
| DBA Doing business as | Millenium Diagnostic Center |
| Authorized official | Trivax, Geoffrey A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Dec 23rd, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982639357 | NPPES |
| Michigan | Other | 700F319250 | BLUE SHIELD GROUP |
| Michigan | Other | CK4521 | BLUE SHIELD GROUP |
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